Surgical Strategies and Perioperative Outcomes of Robot-Assisted Vena Cava Reconstruction

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-10-08 DOI:10.1002/rcs.2671

Gong Cheng, Yifei Xing, Guosong Jiang, Huageng Liang, Zhaohui Chen, Xiaoping Zhang

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Abstract

Background

This study aimed to describe robot-assisted vena cava reconstruction by summarising surgical strategies and perioperative outcomes.

Methods

A retrospective review was performed on all robotic surgeries involving dissection and repair of the inferior vena cava (IVC) at our institution. Patient characteristics, operative reports, and follow-up visits were analysed.

Results

Thirty-nine patients underwent robot assisted surgery of the vena cava from 2016 to 2023. The median postoperative hospital stay of all patients was 7 days, and the median estimated blood loss (EBL) was 550 mL. The median IVC clamping time was 23 min, and IVC wall invasion was pathologically identified in five cases. No patients had liver or kidney dysfunction at the last follow-up.

Conclusion

Our initial experiences demonstrate that it is safe and feasible for experienced surgeons to perform robot-assisted vena cava reconstruction in highly selected patients.

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机器人辅助腔静脉重建的手术策略和围手术期疗效。

背景：本研究旨在通过总结手术策略和围手术期结果，描述机器人辅助腔静脉重建术：本研究旨在通过总结手术策略和围手术期结果来描述机器人辅助下腔静脉重建术：方法：对本院所有涉及下腔静脉（IVC）解剖和修复的机器人手术进行回顾性研究。分析了患者特征、手术报告和随访结果：2016年至2023年期间，39名患者接受了机器人辅助下腔静脉手术。所有患者的术后住院时间中位数为7天，估计失血量（EBL）中位数为550毫升。中位腔静脉夹闭时间为23分钟，5例患者的腔静脉壁被病理学鉴定为侵犯。最后一次随访时，没有患者出现肝肾功能障碍：我们的初步经验表明，对于经验丰富的外科医生来说，在经过严格筛选的患者中实施机器人辅助腔静脉重建术是安全可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.